RANDY DEWAIN BALMFORTH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132515

License Status

ACTIVE

Business

Title

First Name

RANDY

Middle

DEWAIN

Last Name

BALMFORTH

Business Name

RANDY DEWAIN BALMFORTH DO

Original Issue Date

04/18/2013

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2023